Individual
BIANCA ALEXANDRIA DISILVESTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
313 CANONICUS ST, TIVERTON, RI 02878-1105
(508) 679-2240
Mailing address
313 CANONICUS ST, TIVERTON, RI 02878-1105
(508) 679-2240
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OTA4772
MA
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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